A 62-year-old man came to the ED (emergency department) with complaints of fatigue, weight loss, jaundice, and anorexia. Diagnostic studies including abdominal CT with contrast, ERCP, and EUS were performed. The CT scan showed a resectable 4-cm mass at the head of the pancreas, and ERCP revealed evidence of bile duct obstruction; a stent was placed to open the duct. Examination of a tissue biopsy specimen obtained under U/S guidance confirmed an adenocarcinoma of the head of the pancreas. Additional studies showed no evidence of hepatic or other metastases. Surgical treatment with a Whipple procedure was recommended. This procedure was performed and included pancreatoduodenectomy, choledochojejunostomy, and gastrojejunostomy. Lymph node removal and cholecystectomy were part of the operative procedure. During surgery, it was determined that the tumor was confined to the head of the pancreas. Despite removal of the tumor, the chance of recurrence is high, with a cure rate of only about 20%. What anastomosis was performed? Gallbladder and duodenum united Liver and pancreas connected to the stomach Common bile duct, pancreatic duct, and small intestine all connected together. Stomach and pancreas reconnected

A 62-year-old man came to the ED (emergency department) with complaints of fatigue, weight loss, jaundice, and anorexia. Diagnostic studies including abdominal CT with contrast, ERCP, and EUS were performed. The CT scan showed a resectable 4-cm mass at the head of the pancreas, and ERCP revealed evidence of bile duct obstruction; a stent was placed to open the duct. Examination of a tissue biopsy specimen obtained under U/S guidance confirmed an adenocarcinoma of the head of the pancreas. Additional studies showed no evidence of hepatic or other metastases. Surgical treatment with a Whipple procedure was recommended. This procedure was performed and included pancreatoduodenectomy, choledochojejunostomy, and gastrojejunostomy. Lymph node removal and cholecystectomy were part of the operative procedure. During surgery, it was determined that the tumor was confined to the head of the pancreas. Despite removal of the tumor, the chance of recurrence is high, with a cure rate of only about 20%. What anastomosis was performed? Gallbladder and duodenum united Liver and pancreas connected to the stomach Common bile duct, pancreatic duct, and small intestine all connected together. Stomach and pancreas reconnected

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Outpatient And Physician Office Coding

Section: Chapter Questions

Problem 17MC

See similar textbooks

Similar questions

Danielle, a CST at an inner city hospital, is advised of an add-on case of diagnostic laparoscopy for lower abdominal pain in a 28-year-old female. As the surgeon inspected the peritoneal cavity, she found that the appendix was normal; however, there were numerous adhesions involving the adnexal structures. How did the patient likely become infected initially?
Danielle, a CST at an inner city hospital, is advised of an add-on case of diagnostic laparoscopy for lower abdominal pain in a 28-year-old female. As the surgeon inspected the peritoneal cavity, she found that the appendix was normal; however, there were numerous adhesions involving the adnexal structures. What might the post-operative diagnosis be for what the surgeon found?
A 62-year-old man came to the ED (emergency department) with complaints of fatigue, weight loss, jaundice, and anorexia. Diagnostic studies including abdominal CT with contrast, ERCP, and EUS were performed. The CT scan showed a resectable 4-cm mass at the head of the pancreas, and ERCP revealed evidence of bile duct obstruction; a stent was placed to open the duct. Examination of a tissue biopsy specimen obtained under U/S guidance confirmed an adenocarcinoma of the head of the pancreas. Additional studies showed no evidence of hepatic or other metastases. Surgical treatment with a Whipple procedure was recommended. This procedure was performed and included pancreatoduodenectomy, choledochojejunostomy, and gastrojejunostomy. Lymph node removal and cholecystectomy were part of the operative procedure. During surgery, it was determined that the tumor was confined to the head of the pancreas. Despite removal of the tumor, the chance of recurrence is high, with a cure rate of only about…
A 62-year-old man came to the ED (emergency department) with complaints of fatigue, weight loss, jaundice, and anorexia. Diagnostic studies including abdominal CT with contrast, ERCP, and EUS were performed. The CT scan showed a resectable 4-cm mass at the head of the pancreas, and ERCP revealed evidence of bile duct obstruction; a stent was placed to open the duct. Examination of a tissue biopsy specimen obtained under U/S guidance confirmed an adenocarcinoma of the head of the pancreas. Additional studies showed no evidence of hepatic or other metastases. Surgical treatment with a Whipple procedure was recommended. This procedure was performed and included pancreatoduodenectomy, choledochojejunostomy, and gastrojejunostomy. Lymph node removal and cholecystectomy were part of the operative procedure. During surgery, it was determined that the tumor was confined to the head of the pancreas. Despite removal of the tumor, the chance of recurrence is high, with a cure rate of only about…
A 55-year-old female patient who is positive for MRSA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to convert to an open cholecystectomy. The surgeon requests an antibiotic irrigation for closure at the end of the procedure. Considering the patient's medical history, what antibiotic will be requested? What information should be included on the label for the basin containing the requested irrigation? Which will be used to deliver the irrigation to the wound?
A 54-year-old female patient has been diagnosed with cholecystitis and cholelithiasis. She is scheduled for a laparoscopic cholecystectomy. While in preoperative holding the CST is assembling supplies and getting the OR ready for the case. What laboratory studies would the CST expect to be in the patient’s chart? What diagnostic imaging studies are likely to be part of the patient’s preoperative workup, and how might those images be viewed in the OR? What studies might be performed as part of this surgical procedure, and how should the CST prepare for them?
In pharmacology branch, What counseling points you can provide to the patient for bile duct obstruction
A 63-year-old diabetic, morbidly obese female patient is complaining of diffuse upper right quadrant pain that becomes more intense after eating. Sonography indicates many stones in her gallbladder. The physician has scheduled her for an open cholecystectomy with common bile duct exploration. What surgical wound classification would be expected in this case? How must the patient’s comorbidities be considered during closure? How is her wound expected to heal?
A 56-year-old male patient with a personal history of colonic polyps presents to the outpatient surgery department for a colonoscopy to rule out colon cancer. The patient has been experiencing rectal bleeding for approximately six weeks and has lost a significant amount of weight. A colonoscopy to the terminal ileum is performed. Just beyond the rectal vault, two polyps are found and excised by hot biopsy forceps. Further up into the sigmoid colon, a lesion was biopsied. The pathology report confirms a diagnosis of colon cancer in the lesion found and the polyps were found to be villous adenoma. What are the two CPT codes?
Male, 50 years old, had undergone subtotal gastrectomy for gastric ulcer 20 years ago. In the recent half a year, he had upper abdominal distension after eating, black stool in the past 2 months, and wasting and fatigue. Physical examination: a 6×5cm mass can be reached under the xiphoid process. The texture is hard and can be pushed, accompanied by light tenderness. The first diagnosis considered is: Ulcer recurrence Postoperative input loop obstruction Output loop obstruction Remnant stomach cancer Gastric emptying disorder
Stan Jordan is a 64 year married man. Stan has been admitted to hospital for a laparoscopic cholecystectomy following a 6 month history of symptomatic cholecystitis. Initial attempts to remove the gall bladder via laparoscopic cholecystectomy proved difficult due to severe adhesions. The surgeon Dr. Katter proceeded to remove the gall bladder via an open cholecystectomy. Stan is transferred to recovery room where morphine using a Patient Controlled Analgesia (PCA) via a syringe pump is commenced as ordered by the anaesthetist. The client also has a peripheral IV line with Sodium Chloride 0.9% infusing. Stan returns to the ward where his initial postoperative observations were satisfactory. Pulse 86bpm, BP 142/78, Temp 37 º RR 18. 30 minutes later another set of postoperative observations are attended. His observations are as follows: Pulse 110 bpm Blood pressure - 155/96 Temperature - 37.6º Respiratory rate - 22 Stan states his pain is increasing and he is becoming noticeably…
Stan Jordan is a 64 year married man. Stan has been admitted to hospital for a laparoscopic cholecystectomy following a 6 month history of symptomatic cholecystitis. Initial attempts to remove the gall bladder via laparoscopic cholecystectomy proved difficult due to severe adhesions. The surgeon Dr. Katter proceeded to remove the gall bladder via an open cholecystectomy. Stan is transferred to recovery room where morphine using a Patient Controlled Analgesia (PCA) via a syringe pump is commenced as ordered by the anaesthetist. The client also has a peripheral IV line with Sodium Chloride 0.9% infusing. Stan returns to the ward where his initial postoperative observations were satisfactory. Pulse 86bpm, BP 142/78, Temp 37 º RR 18. 30 minutes later another set of postoperative observations are attended. His observations are as follows: Pulse 110 bpm Blood pressure - 155/96 Temperature - 37.6º Respiratory rate - 22 Stan states his pain is increasing and he is becoming noticeably…